Legal rebuttals have to be drafted with great care and accuracy; they have to be thoroughly professional. The rebuttal preparation can be made easy with the assistance of a medical record review company. The rebuttal report prepared will successfully argue your case for insurance claims or one to justify services or treatments provided to patients. Rebuttals can be prepared for MRI denials, DME (Durable Medical Equipment) denials, and chiropractic insurance denials. The reports can be customized according to individual requirements as brief letters, or lengthy formal reports. Usually, MRI claims are denied on the basis of reasons such as the provider is not part of the insurer’s network, the MRI was not medically necessary and the patient had not obtained the required pre-authorization.
A winning rebuttal report would contain evidence that:
- Supports accuracy of the information in the claim
- Explains why the claim is genuine and should not be denied
- Supports the medical necessity of the treatment and prescriptions
A well-drafted legal rebuttal would contain a chronology and timeline for all records. It would provide detailed expert opinion, and highlight sources used. A professional medical review company supports lawyers and medical entities by providing research, report preparation and document review services.
DME claim denials are a major issue that medical facilities face, and which often require submission of rebuttals. Here too a medical review company that has considerable experience in the industry can provide valuable help by handling the entire paperwork in the rebuttal and appeal process. Their focus would be on minimizing claim denials and maximizing reimbursement for DME use. The professional workforce would organize all medical records, case summaries and patient medical history notes that may be necessary to submit to the insurance company during the DME rebuttal process. Your partnering medical review firm would help you prove that the DME prescription was appropriate for the patient and all the information in the submitted claim is valid and accurate.
Whatever be your legal rebuttal requirement, you can count on a reputable medical record review firm to offer value-added services.